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Table 1 Patients with pericardial effusion under nivolumab: demographic and clinical characteristics

From: Pericardial effusion under nivolumab: case-reports and review of the literature

 All patients
(n = 16)
Previous cases
(n = 13)
This work
(n = 3)
 n%n%n
Patient’s characteristics
 Male12(75)11(86)1 
 Age (years ± SD)63±764±759±4
 Smoker11(69)8(62)3 
Type of tumour
 S-NSCLC2(13)2(15)0 
 A-NSCLC13(81)10(77)3 
 SCLC1(6)1(8)0 
Stage
 IIIb4(25)4(31)0 
 IV12(75)9(69)3 
 Malignant pericardial effusion8(50)6(46)2 
n-line therapy
 210(63)7(54)3 
 33(19)3(23)0 
  > 32(13)2(15)0 
Previous therapeutics
 Thoracic irradiation10(63)7(54)3 
 Cisplatin6(38)5(38)1 
 Carboplatin11(69)9(69)2 
 Paclitaxel3(19)3(23)0 
 Pemetrexed9(56)7(54)2 
 Etoposide2(13)2(15)0 
 Tyrosine kinase inhibitors3(19)3(23)0 
 Bevacizumab3(19)3(23)0 
 Othersa5(31)4(31)1 
Pericardial effusion
 Time of onset (cycles, median (range))5(1–35)5(1–24)6(4–35)
Initial symptoms
 Dyspnea11(69)9(69)2 
 Chest pain3(19)3(23)0 
 Shock5(31)4(31)1 
 Respiratory failure4(25)3(23)1 
 Tachycardia5(31)5(38)0 
 Tamponade13(81)11(85)2 
 Asymptomatic2(13)1(8)1 
 Othersb3(19)2(15)1 
Treatment 
 Pericardiocentesis11(69)10(77)1 
 Pericardial window5(31)4(31)1 
 Surgical drainage2(13)1(8)1 
 Corticosteroids7(44)5(38)2 
 Colchicine2(13)1(8)1 
Nivolumab use
 Stopped10(63)8(62)2 
 Continued2(13)2(15)0 
 Stopped and Resumed4(25)3(23)1 
Outcome
 Progression1(6)0(0)1 
 Pseudoprogression8(50)7(54)1 
 Resolution of pericardial effusion12(75)9(69)3 
 Other IrAEs7(44)5(38)2 
 Recurrent pericardial effusion3(19)3(23)0 
 Hypothyroiditis2(13)2(15)0 
 Colitis2(13)0(0)2 
 Pneumonitis1(6)1(8)0 
Pericardial fluid cytology
 Malignant cells6(38)6(46)0 
 Leukocytes8(50)6(46)2 
 Serosanguinous7(44)6(46)1 
Pericardial biopsy
 Malignant cells0(0)0(0)0 
 Lymphocytes4(25)3(23)1 
 Atypical cells2(13)1(8)1 
 Inflammation5(31)5(38)0 
 Fibrosis4(25)4(31)0 
 Fibrinous3(19)3(23)0 
 Mesothelial hyperplasia2(13)1(8)1 
  1. Data are given as absolute value with percentage for all patients (n = 16), for patients from case reports reported in the literature (n = 13) and from our 3 cases
  2. aTopotecan, Everolimus, Temozolamide, Docetaxel, Gemcitabine, Vinorelbine, S-1
  3. bCaughing (1), Fever (1), cardiac arrest (1)